Application form for the LISTE 16 – The Young Art Fair in Basel June ...

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Application form for the LISTE 16 – The Young Art Fair in Basel
June 14–19, 2011
Registration deadline: January 9, 2011
Return to: LISTE – The Young Art Fair, Burgweg 15, CH 4058 Basel
Please fill out the application form on the computer.
Name of gallery
Director/s (last name, first name)
Address
Zip code, City
Telephone
Country
Fax
Mobile
E-mail
Homepage
Year gallery opened
Participation in other fairs
All of gallery’s artists
Please enclose detailed information, with visual materials and biographies, with application.
Year
Price range
Name of birth Nationality Medium/Technique of artistic works

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All of gallery’s artists
Enclose detailed information with visual materials and biographies with application.
Year
Price range
Name of birth Nationality Medium/Technique of artistic works

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Application form for the LISTE 16 – The Young Art Fair in Basel
June 14–19, 2011
Name of the gallery Solo presentation Group presentation
Status of applicant/year of participation 1 st time at LISTE 2 nd time 3 rd time
Registration fees
Cash or postal money order enclosed; CHF 220.–/Euro 170.–
Money transfer completed; confirmation of transfer is enclosed; CHF 220.–/Euro 170.–
galleries already 3 times at LISTE/
galleries older than 5 years – 1 st time at LISTE/
galleries that have already participated in another art fair in Basel
Bank information for wire transfer: Bank E. Gutzwiller & Cie, Kaufhausgasse 7, CH 4051 Basel;
(Swift Code: GUTZCHBB); Pebeba GmBH: account no: 73561, Clearing no: 8775, IBAN Code: CH 20 08 77 50 73 56 1000100
Artists we would like to present at the LISTE 16
Please enclose detailed information, with visual materials and biographies, with application.
Exhibiting in
Name Jahrgang Nationalität Medium/Technik Switzerland for Price range
the first time of
Name Year of birth Nationality Medium/Technique (yes = x) artistic works
Concept for fair presentation
The fair’s management will try to accommodate all specific booth concepts with an appropriate booth location.
Comments
Signature
Place/Date
LISTE 16 – The Young Art Fair – Burgweg 15 – CH 4058 Basel
T: +41/61/692 20 21 – F: +41/61/692 20 18 – info@liste.ch – www.liste.ch